IAS Reference:
INTERNATIONAL FELLOWSHIPS
APPLICATION FORM
Please refer to the Application Guidance for this programme before completing the application form. If
in doubt about the suitablity of this programme for your project, please consult with the IAS prior to
submitting the application. Equally, any queries regarding the completion of this document can be
directed to the IAS via [email protected]
SECTION ONE - COVER SHEET
Nominator/Principal Applicant
Department/Centre
Email
2nd Nominator
Department/Centre
Email
Additional Nominator(s)
Department/Centre
Email
DETAILS OF PROPOSED VISITING FELLOW(s)
Name and Title
Organisation Name and Address
VISIT DETAILS
Type of visit (check appropriate
box)
Aligned with GRP (specify):
Visit Dates (if proposing a series of
visits state details of first visit and
provide addition information in
the case for support)
Office space required in IAS
Email
☐ Single Visiting Fellow / Single Visit
☐ Single Visiting Fellow / Series of Visits
☐ Multiple Visiting Fellows
Preferred Date
Start:
Alternative Date
Start:
End:
End:
☐ Yes
☐ No
Page 1 of 3
AGREEMENT OF APPLICANT – The Principal Applicant a) confirms that the Nominated Visiting
Fellow(s) agrees to the submission of this application and b) agrees that a corresponding award will be
managed in compliance with University Financial Regulations and will adhere to IAS reporting
requirements.
Name
Signature
Date
SECTION TWO – CASE FOR SUPPORT - Please provide a detailed justification for the visit following the
sub-headings below (750 words)
Overview of the partnership and/or previous collaborations to date:
Purpose and objectives of the visit:
Expertise of the Visiting Fellow(s) and anticipated impact of their contribution:
Rationale for multiple visits/fellows(if applicable:
Significance of the research activity:
SCHEDULE AND DESCRIPTION OF PROPOSED ACTIVITIES DURING THE VISIT - Please provide details of
the planned collaborative events and activities including an indication of the intended audience. The
schedule should include at least one public or interdisciplinary activity. Plans for joint projects,
publications and potential funding applications should also be specified as applicable (500 words).
ANNOTATED CV OF PROPOSED VISITING FELLOW - Please attach separately as a Word document or
PDF a CV (maximum 4 pages) of the proposed Visiting Fellow. The CV should be annotated to highlight
the publications, activities or achievements that are especially relevant to this application
Continued
Page 2 of 3
RESOURCES – Specify the budget breakdown below. Visiting fellows will normally be housed in
Cryfield Grange, the IAS residential accommodation. Each Visiting Fellow will also receive a
subsistence allowance of £35 per day for up to a maximum of 4 weeks. You should not, therefore,
calculate or include accommodation and subsistence costs for your proposed Fellow. All expenditure
must be in line with the University Financial Regulations:
http://www2.warwick.ac.uk/services/humanresources/payroll/expenses
Travel of Visiting Fellow (including flights & travel
within the UK):
Postgraduate or other assistance (to support event
organisation for the Fellow in the nominator’s
department (note hourly rate & ours):
Composite costs (itemised) of events to be held,
Event 1:
insert additional lines as necessary:
Event 2:
Event 3:
Event 4:
Warwick’s Venice Research Centre or Brussels
Office event supplement (if applicable):
Other (specify and itemise)
Total cost of activities:
Funds to be provided by other departments/
research centres/ organisations
Source:
Amount:
TOTAL REQUESTED FROM IAS:
APPROVALS – declaration of support from Head of Department / Research Centre (or authorised
representative)
I support the bid; I agree that any overspend will be covered by my department; I agree to provide
necessary facilities; I confirm that the project would not entail a significant increase in use of any
University services and that any health and safety and ethical requirements would be addressed and
covered as appropriate. I confirm that the Principal Applicant is a permanent member of academic
staff.
Name:
Department:
Signature:
Date:
Please can you also confirm the details of your Department Administrator / Secretary so that we can
also include them in any email correspondence regarding this application.
Name:
Title:
Applications can be submitted electronically to [email protected] or sent via the internal mail to the Institute of
Advanced Study, Millburn House.
Page 3 of 3
Download

INTERNATIONAL FELLOWSHIPS APPLICATION FORM